Provider Demographics
NPI:1225418494
Name:GOLDEN HANDS PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:GOLDEN HANDS PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPPIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-699-5147
Mailing Address - Street 1:171 E 74TH ST
Mailing Address - Street 2:SUITE C-3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3221
Mailing Address - Country:US
Mailing Address - Phone:917-699-5147
Mailing Address - Fax:
Practice Address - Street 1:171 E 74TH ST
Practice Address - Street 2:SUITE C-3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3221
Practice Address - Country:US
Practice Address - Phone:917-699-5147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018482-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy